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Referral and Compliance Coordinator in Philadelphia, PA at Public Health Management Corporation

Date Posted: 10/22/2018

Job Snapshot

Job Description

Responsibilities:

  • Collect/organize information and data enter information used for monitoring compliance related events such as service delivered dates, referrals, MDEs and IFSPs;
  • Collect referral information, review for quality, accuracy and completeness, and data enter information in PEIDS and PELICAN as directed;
  • Obtain family’s choice or preference of provider agency as appropriate and when needed, to complete PEIDS authorization process for services;
  • Post services on PEIDS Master Referral List (MRL) as needed;
  • Respond to Providers who request to be the service provider from the MRL, authorize providers in PEIDS, process necessary paperwork, collect information and enter information in PEIDS and PELCAN;
  • Add, revise, end services on IFSPs in PELICAN and EIP, associate providers and assign COR to initial Plans, and document assign EI Providers to Plans;
  • Review and correct data before and after data entry in PEIDS and Pelican, for quality improvement;
  • Distribute referral information to providers by fax, mail and electronically;
  • Collect/organize information and complete/report/distribute status updates as directed regarding the status of completing MDEs and IFSPs, and delivered services;
  • Generate and distribute reports, reminders and requests to ChildLink service coordinators and supervisors, early intervention providers and MRS about timelines, missing service delivered dates, explanations concerning delays and action steps to correct delays and interruptions;
  • Participate on work groups as required;
  • Complete paperwork and attend meetings and trainings as requested;
  • Complete other duties as assigned.

Skills:

  • Excellent organizational and time management skills
  • Excellent verbal and written communication skills
  • Excellent interpersonal skills
  • Ability to understand and follow policies and procedures
  • Ability to be detailed oriented
  • Excellent analytical and problem solving skills
  • Good skills with typing on computer keyboards and entering information into electronic programs
  • Ability to multi-task in a fast paced environment

Performance Criteria:

  • Enter service notes in PELICAN for billable SC activities
  • Interact with Providers in a professional and timely manner
  • Review and ensure that all MDE, IFSP, service and Addendum information is correct before data entering
  • Data enter all MDE, IFSP and service data into PEIDS and PELICAN without errors
  • Authorize services to providers in a timely manner and without errors
  • Work/follow up on the concrete goals established on the quality improvement plan developed by the Referral and Compliance Management Unit Supervisor
  • Ensure all referral information is entered into PEIDS same day as received
  • Ensure all paperwork is completed and distributed in a timely and efficient manner.
  • Participate in team meetings as part of the Referral and Compliance Management Unit
  • Meet with the Referral and Compliance Management Unit Supervisor for supervision as needed
  • Attend meetings and trainings as requested by ChildLink, TLC, and IDS

Education: 

  • A Bachelor's degree in the social sciences, or other related fields which include 12 college credits in early intervention, early childhood special education, early childhood education, child development, special education, family counseling, family studies, social welfare, psychology or other comparable social sciences.

Experience:

  • At a minimum one (1) year experience working with children and families, case management programs, early intervention and/or other service delivery programs in addition to experience in collecting information and working with electronic programs and data systems.    

Salary:

  • Negotiable depending on qualifications and experience.